165652 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 020500 Page 1 of 1
ONE CIVIC SQUARE BBC PUMP EQUIP CO. INC CHECK AMOUNT: $454.96
CARMEL, INDIANA 46032 1125 W 16TH ST
PO BOX 22098 CHECK NUMBER: 165652
INDIANAPOLIS IN 46222
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11417 76139 454.96 PACKING SET, GLAND BO
I
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l b PC
Pump and Equl msn Compan hiz. r DATE NUMBER
777 N. Tibbs Ave. P.O. Box 22098 Indianapolis, IN 46222 1 0 28/08 0761
(317)-636-1111 Fax (317) 636 -5467
s CAR`.50 H INVOICE
L CARMEL WWTP I CARMEL WWTP
D P
T 9609 HAZEL DELL PKWY T 9609 HAZEL DELL PKWY
0 INDIANAPOLIS, I N 46280 0 INDIANAPOLIS, I N 482:80
ATTN LISA K I MPA
TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT
X7 171t1►I TA.7LEX.E1'
LOC. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. OUST. ORDER NO. SALESPERSON CLK TERMS COPY PAGE
T. 0101
G 0 DrtYT67IY.YY..77
INVOICE INVOICE INVOICE INVOICE
01 SEEPEX 3 3 PKPK126201700MG014 133.00 399.00
EA
02 PACKING SET I
0,:� SEEPEX G 8 SHALOM12012160000186 8.00 48.00
EA
04 GLAND HALT
447.00 7.96 454. 96
SALESAMOUNT SALES TAX SHIPPINGCHG. CODE DEPOSIT CASH CODE
Nil ow 0
A FINANCE CHARGE OF 1'1z% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18%
WILL BE INCURRED ON ALL PAST DUE AMOUNTS.
ALL CLAIMS FOR DAMAGES AND SHORTAGES MUST BE
REPORTED WITHIN SEVEN DAYS OF INVOICE DATE
RECEIVED BY
VbUCHER 086621 WARRANT ALLOWED
20500 IN SUM OF
BBC PUMP EQUIPMENT
1125 W. 16th Street
P.O. Box 22098
Indianapolis, IN 46222
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76139 01- 7202 -06 $447.00
76139 01- 7202 -06 $7.96
14
1
�S
Voucher Total $454.96
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
20500
BBC PUMP EQUIPMENT Purchase Order No.
1125 W. 16th Street Terms
P.O. Box 22098 Due Date 11/5/2008
Indianapolis, IN 46222
s'
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2008 76139 $454.96
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
ii 4 0,-.e 0
Date Officer